Single-site laparoscopic partial nephrectomy:Where are we going?

Fabio Pellegrini; Francesco Berardinelli; Guido Giusti; Luca Cindolo; Luigi Schips; Mario Alvaréz-Maestro; Roberto Castellucci

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Single-site laparoscopic partial nephrectomy:Where are we going?

Single-site laparoscopic partial nephrectomy:Where are we going?

作者：

Fabio Pellegrini Francesco Berardinelli Guido Giusti Luca Cindolo Luigi Schips Mario Alvaréz-Maestro Roberto Castellucci

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NEPHRON

sparing

SURGERY

PARTIAL

NEPHRECTOMY

Laparoendoscopic

SINGLE-SITE

SURGERY

SINGLE-PORT

access

SURGERY

Single-incision

laparoscopic

SURGERY

Robotic

SINGLE-PORT

PARTIAL

NEPHRECTOMY

摘要：

AIM:To review an evolution of laparoscopic surgery,there has been a growing interest in laparoendoscopic single-site surgery(LESS).METHODS:A comprehensive electronic literature search was conducted using PubMed database to identify all publications relating to LESS-partial nephrectomy(PN).The research includes articles published from April 2008 to January 2014.We focused our attention only on articles in which were cited the single-site surgical technique(laparoscopic and robotic),tumour stage and grade,mean tumour size,intraoperative variables,blood loss and transfusion rate,length of postoperative stay and complication rates,Clavien classification,positive of surgical margins,pain assessment at discharge.RESULTS:A total of 9 studies were collected with 221 patients included.The mean patients age was 62 years.The mean tumor size was 2.35 cm with a mean operative time of 181 min(range 111-270 min)and 58.3%were done by robot.The mean ischemia time was 23.6 min.The 25.8%of patients underwent an unclamp LESS-PN.Mean estimated blood loss was 296 mL and median length of hospital stay was 4 d.The rate of severe post-operative complications(≥Clavien gradeⅢ)was 5.4%.Not all surgical series of LESS-PN or Robotic-LESS-PN shows conversion in Multiport Laparoscopic or Open Surgery.Regarding oncologic outcomes,surgical margins were positive 4%of patients(9/221),no distant or port-site metastases were recorded.CONCLUSION:LESS-PN and RLESS-PN are feasible and associated with reduced postoperative pain,shorter median hospital stay,shorter recovery time,and better cosmetic satisfaction without compromising surgical and oncological safety.

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篇名	Single-site laparoscopic partial nephrectomy:Where are we going?
来源期刊	世界临床泌尿杂志	学科	医学
关键词	NEPHRON sparing SURGERY PARTIAL NEPHRECTOMY Laparoendoscopic SINGLE-SITE SURGERY SINGLE-PORT access SURGERY Single-incision laparoscopic SURGERY Robotic SINGLE-PORT PARTIAL NEPHRECTOMY
年，卷（期）	2014,（3）	所属期刊栏目
研究方向		页码范围	358-363
页数	6页	分类号	R
字数		语种
DOI